Objective: This study analyzes effectiveness of screening, referrals, and treatment uptake of a collaborative care for depression intervention across 10 primary care clinics in Chicago.Methods: Patients were screened with the PHQ-2/9 based on an eligibility algorithm. Electronic health record data were analyzed for sample characteristics, screening rates, referrals, and treatment pathways. To identify disparities, a test of proportions was conducted between eligible and screened patients and referred and treated patients.Results: From November 2016 -December 2017, 25,369 patients were eligible for screening, and rates rose to 79%, versus 7% in the prior year. Screenings, referrals, and uptake occurred proportionately across subgroups except for patients ages 12-17. Adolescent age was associated with disproportionate PHQ-9 screenings and with treatment disengagement. Conclusion:The intervention shows promise in expanding access to care and reducing disparities. Greater access to psychotherapies and innovative treatment modalities, particularly for adolescents, may improve overall treatment uptake.

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This qualitative and exploratory study was conducted in a rural community in Puebla, Mexico, in August 2008. The study specifically explores the decision-making process, as well as the interpersonal dynamics involved in the act of remitting, and how the family remaining in the community of origin manages the financial and emotional transactions as beneficiaries of the remittances. This study found that in this particular community, once a husband migrates, his wife typically moves in with her family in-law. In most families, the migrant initially sent the remittances directly to his mother, enabling her authority and power over his wife. This dynamic has psychological impacts and also influences the relationship between the migrant and his wife. Additionally, change occurs throughout the course of the husband's migration that affects family relationships and functioning. For example, the remittances sent by the husband may allow his wife and children to obtain their own property and gain independence from their in-laws.

The prevalence of obesity has been increasing at an alarming rate across all age-groups within the United States. Specifically within the older adult population, the seriousness of this trend is underscored by resulting medical complications, decreased physical function, and impaired quality of life. Diabetes is associated with obesity and further negatively affects functioning and quality of life. Both obesity and diabetes are associated significantly with health behavior and multiple mental health problems, some of which independently increase the risk for obesity and diabetes. This chapter summarizes research on obesity and diabetes among older adults, including the scope of the problem, assessment, and intervention. OBESITY EPIDEMICObesity, defined as an excess in total body fat, serves as a risk factor for increased morbidity and mortality, making it one of the most important public health epidemics. More specifically, the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (M. D. Jensen et al., 2014) has defined obesity as a body mass index (BMI) of 30-39, and extreme obesity as BMI of greater than 40 for adults (for a discussion of BMI, see discussion in the section Assessment; Kuczmarski, Carroll, Flegal, & Troiano, 1997).Increasing in prevalence over the past three decades, obesity affects more than 35% of people within the United States . According to data from the National Health and Nutrition Examination Survey, 35% of adults over the age of 65 years (i.e., approximately 13 million older adults) were obese in 2007(Fakhouri, Ogden, Carroll, Kit, & Flegal, 2012. Specifically, 41% of adults between the ages of 65 and 74 years and 28% of adults 75 years and older were considered obese.

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